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Prostatic hypertrophy and venereal disease as possible risk factors in the development of bladder cancer.

In three urological predictors, nocturia, prostatic surgery for prostatic hypertrophy and a previous venereal disease, a significantly increased relative risk (RR) of developing bladder cancer was detected. An epidemiological case control investigation was performed on 165 male bladder cancer patients and an equal number of male controls matched concerning age and geographical area. The sample was obtained from a predominantly rural district. The theoretical individual risk factors were calculated by the aid of a multivariate logistic analysis. Twenty-four patients versus 11 controls had a history of prostatic surgery (RR = 2.38) for benign prostatic hypertrophy, 60 patients versus 36 controls complained of nocturia at least 2 years before presenting symptoms of bladder cancer (RR = 2.05), and 16 patients versus seven controls had a history of venereal disease (RR = 2.42). The results seems to indicate that prostatic hypertrophy and previous venereal disease may at least in part be factors of importance associated with bladder cancer.

Adult↗

Venereal disease control among homosexuals; An outreach program.

With the support and participation of area homosexual organizations and a local bar, the City Health Department developed an outreach/education/screening program for venereal disease (VD) control. Venereal disease education and blood testing were conducted during four sequential Wednesday evenings in the bar on a volunteer basis, anonymously if requested. Of the 118 sera drawn, ten were reactive on serologic testing. Two of these reactive blood tests led to the discovery of two new cases of primary syphiles. No cultures were positive for Neisseria gonorrhoeae. The subject response rate confirms the value of an anonymous reporting method; the discovery of two cases of primary syphilis lends credence to case finding by field-screening a high-risk population.

Attitude to Health↗

Genital infection with type 2 herpes simplex virus. A common venereal disease.

Current evidence leaves little doubt that genital herpes is primarily a venereal disease. Like gonorrhea, it is frequently subclinical or asymptomatic. A high rate of infection is found among patients attending venereal disease clinics and among persons of low socioeconomic status. The infection (primary or recurrent) is generally self-limiting, but in a pregnant woman it poses a significant risk to the fetus. It also has been linked to an increased risk of cervical cancer. The Papanicolaou smear is a useful tool for early detection. Effective antiviral therapy for genital herpes is unavailable. Photodynamic inactivation appears promising in recurrent herpes but may be hazardous; malignant transformation of infected cells subjected to this process has been demonstrated in vitro.

Adolescent↗

The legal framework covering the practice of genitourinary medicine in the UK: the Venereal Diseases Regulations.

The legal framework governing the practice of genitourinary medicine is traced from 1916 to the present. The first legislation, the Public Health (Venereal Diseases) Regulations of 1916 was comprehensive, and accompanied by guidance on setting up outpatient clinics and their supporting laboratories with practical advice on taking samples to support clinical diagnosis. Confidentiality was emphasized. The regulations led to the development of a nationwide network of clinics providing free care, open at times convenient to the public, and situated in general hospitals in large centres of population. Most of the principles still apply. Subsequent legislation centred on maintaining the confidentiality of all information obtained in relation to persons examined or treated for venereal disease, but allows transfer of details between healthcare providers to facilitate care and contact tracing. While the initial regulations stated that the venereal diseases were syphilis, gonorrhoea and chancroid, the legislation now covers all sexually transmitted diseases.

Female Urogenital Diseases↗

Turn-of-the-century nursing perspectives on venereal disease.

In the early 1900s, nurses, feminists, and social reformers focused on venereal disease as a symbol of women's powerlessness. Authors in popular literature and nursing journals debated the ethics of the "medical secret," whereby physicians collaborated with their male patients to keep wives uniformed of the risk of infection. The nurses Lavinia Dock and Emma Goldman used the topic of venereal disease as a springboard to discuss their contrasting feminist ideologies. Their writings provide a context for current debates about sexual partner notification for HIV and nurses' role in political activism.

Female↗

Turn-of-the-century nursing perspectives on venereal disease.

In the early 1900s, nurses, feminists, and social reformers focused on venereal disease as a symbol of women's powerlessness. Authors in popular literature and nursing journals debated the ethics of the "medical secret," whereby physicians collaborated with their male patients to keep wives uninformed of the risk of infection. The nurses Lavinia Dock and Emma Goldman used the topic of venereal disease as a springboard to discuss their contrasting feminist ideologies. Their writings provide a context for current debates about sexual partner notification for HIV and nurses' role in political activism.

Confidentiality↗

Epidemiologic treatment in venereal disease. A method to aid in VD control.

Epidemiologic therapy refers to the treatment of infectious syphilis or gonorrhea contacts without proof of laboratory diagnosis. This method of treatment is considered essential by public health authorities in the management of venereal disease, but has long been neglected in the private sector of medicine. The majority of venereal disease patients are treated by private practitioners, but apathetic attitudes, insufficient training, lack of case reporting, differing and often inadequate treatment schedules, poor follow-up and ignorance about or reluctance to use epi-treatment are all factors in our losing struggle against the current venereal disease epidemic.

Communicable Disease Control↗

[Effect of alcohol consumption on recurrence of venereal diseases].

INTRODUCTION: Sexually transmitted diseases (STDs) comprise a large group of infections caused by different microorganisms including spirochetes, bacteria, chlamydia, mycoplasma, protozoa, fungi, parasites, and viruses. A considerable number of patients with sexually transmitted diseases are STD recurrences. As reported by Marijanović and Lalosević, in Belgrade, among patients who visited the City Department of Skin and Venereal Diseases, during 1985 and 1986 because of syphilis or gonorrhea, 22.8% had these diseases two or more times during their lives (male/female ratio 10:1). The aim of this study was to test the hypothesis that there is a relationship between alcohol use and recurrence of STD. MATERIAL AND METHODS: A case-control study was performed in Belgrade population, from June, 1997 to April, 1998. Participants were recruited among patients attending the City Department of Skin and venereal Diseases of Belgrade because of sexually transmitted diseases (syphilis, gonorrhea, nongonoccocal urethritis and genital warts). The case group comprised 101 patients who already had STD two or more times in their personal histories. The control group consisted of 210 patients treated at the same institution for micotic diseases, patients who either never had STD or had it only once (13% of controls) in their personal histories. All participants were men aged 20 to 50 years and all were from Belgrade. Data on demographic characteristics, sexual history and sexual behavior, and data on antisocial behavior were collected from all participants using an anonymous questionnaire. In the present paper only data on alcohol use are presented. In the analysis of data chi 2-test was used. RESULTS: STD recurrence patients in comparison to their controls used alcohol more frequently (56.3%:16.1%), especially hard liquors, and 55.5% of them used alcohol at the time of STD infection. DISCUSSION: In the present study STD recurrence patients consumed alcohol more frequently than their controls, especially hard liquors. In the study of Myliueva et al, 50% of venereal disease patients consumed alcohol now and then and 10% consumed alcohol frequently. Scheidt and Windle found that 60% of alcoholics had at least one sexually transmitted disease as the result of a high number of sexual partners, low use of condoms and practicing sex for drugs or money. Alcohol has a depressive effect on central nervous system, reduces anxiety and increases libido. CONCLUSION: The obtained results support the hypothesis that alcohol use is related to recurrence of STDs.

Adult↗

Social background of 171 women attending a femal venereal disease clinic in Brisbane.

A survey over 12 months was carried out on 171 women and girls attending the State Health Department Women's Clinic in Brisbane. Each person was interviewed to obtain data on occupation and educational and family background, attitude to sex, knowledge of venereal disease and other pertinent attitudes. It was obvious that most patients came from lower socioeconomic groups and had little knowledge of venereal disease. The former finding may have been because women from the upper middle and professional classes seek private advice. The need for social workers in venereal disease clinics has been emphasized.

Abortion, Induced↗

Recidivism among patients with gonococcal infection presenting to a venereal disease clinic.

We studied the incidence of gonorrhea, gonococcal recidivism and related factors in venereal disease clinic patients. A sample of 2029 records, which were selected randomly, were reviewed. Gonorrhea and gonococcal recidivism were more common in nonwhite patients, particularly in nonwhite men. Gonorrhea occurred more than once in 23% of the patients with gonorrhea and those patients accounted for 48% of all cases of gonorrhea. We also interviewed 627 new patients attending the venereal disease clinic. Gonococcal recidivism was reported more often by older men and younger women. Use of contraceptives was less frequent among white women who were gonococcal recidivists. However, contraception was not used by 40% of the patients or their partners. Gonococcal isolation rates were lowest in men who used condoms. The number of sexual partners did not correlate with age, use of contraceptives or results of cultures for gonococci. Men had more sexual partners than women and white women had more partners than non-white women. Nine percent of patients took oral antibiotics prior to their visit to the clinic; antibiotic ingestion did not correlate with the patients' race or the results of their cultures.

Adult↗